| Name: | MORTENSON - PROVO ACQUISITION SUBSIDIARY, INC. |
| Legal type: | Kentucky Corporation |
| Status: | Inactive |
| Standing: | Good |
| Profit or Non-Profit: | Profit |
| File Date: | 20 Jun 2014 (11 years ago) |
| Organization Date: | 20 Jun 2014 (11 years ago) |
| Last Annual Report: | 04 Aug 2021 (4 years ago) |
| Organization Number: | 0890333 |
| ZIP code: | 40223 |
| City: | Louisville, Anchorage, Blue Rdg Mnr, Blue Ridge Mano... |
| Primary County: | Jefferson County |
| Principal Office: | 10300 LINN STATION ROAD, SUITE 100, LOUISVILLE, KY 40223 |
| Place of Formation: | KENTUCKY |
| Authorized Shares: | 1000 |
| Name | Role |
|---|---|
| FBT LLC | Registered Agent |
| Name | Role |
|---|---|
| William D Engilman | President |
| Name | Role |
|---|---|
| William D Engilman | Director |
| William E Becknell | Director |
| O Wayne Mortenson | Director |
| Name | Role |
|---|---|
| Steven A Goodman | Incorporator |
| Name | Role |
|---|---|
| Brooks Newman | Secretary |
| Name | Role |
|---|---|
| Jeffrey Reibel | Treasurer |
| Name | Action |
|---|---|
| (NQ) DARYN C. MOODY D.D.S., P.C. | Merger |
| (NQ) PAN, P.C. | Merger |
| Name | File Date |
|---|---|
| Annual Report | 2021-08-04 |
| Annual Report | 2020-05-11 |
| Principal Office Address Change | 2019-08-01 |
| Registered Agent name/address change | 2019-07-31 |
| Annual Report | 2019-06-26 |
| Registered Agent name/address change | 2018-04-23 |
| Principal Office Address Change | 2018-04-23 |
| Annual Report | 2018-04-23 |
| Annual Report | 2017-03-22 |
| Annual Report | 2016-04-19 |
Sources: Kentucky Secretary of State
